Cardiac arrest after thoracic paravertebral block with ropivacaine in a 6-year-old child

We encountered cardiac arrest induced by 0.375 % ropivacaine 7 ml administered via a catheter for continuous thoracic paravertebral block (TPVB) in a 6-year-old female who underwent pacemaker implantation for sick sinus syndrome (SSS). She was successfully resuscitated with adrenaline and lipid emul...

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Detalles Bibliográficos
Autores principales: Yamane, Yu, Kagawa, Tetsuro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5818697/
https://www.ncbi.nlm.nih.gov/pubmed/29497657
http://dx.doi.org/10.1186/s40981-015-0015-4
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author Yamane, Yu
Kagawa, Tetsuro
author_facet Yamane, Yu
Kagawa, Tetsuro
author_sort Yamane, Yu
collection PubMed
description We encountered cardiac arrest induced by 0.375 % ropivacaine 7 ml administered via a catheter for continuous thoracic paravertebral block (TPVB) in a 6-year-old female who underwent pacemaker implantation for sick sinus syndrome (SSS). She was successfully resuscitated with adrenaline and lipid emulsion. Plasma concentration of ropivacaine was 5.2 μg/ml, suggesting intravascular administration of ropivacaine. Inadvertent intravascular administration is a crucial complication of TPVB.
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spelling pubmed-58186972018-02-27 Cardiac arrest after thoracic paravertebral block with ropivacaine in a 6-year-old child Yamane, Yu Kagawa, Tetsuro JA Clin Rep Case Report We encountered cardiac arrest induced by 0.375 % ropivacaine 7 ml administered via a catheter for continuous thoracic paravertebral block (TPVB) in a 6-year-old female who underwent pacemaker implantation for sick sinus syndrome (SSS). She was successfully resuscitated with adrenaline and lipid emulsion. Plasma concentration of ropivacaine was 5.2 μg/ml, suggesting intravascular administration of ropivacaine. Inadvertent intravascular administration is a crucial complication of TPVB. Springer Berlin Heidelberg 2015-12-29 2015 /pmc/articles/PMC5818697/ /pubmed/29497657 http://dx.doi.org/10.1186/s40981-015-0015-4 Text en © The Author(s) 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Yamane, Yu
Kagawa, Tetsuro
Cardiac arrest after thoracic paravertebral block with ropivacaine in a 6-year-old child
title Cardiac arrest after thoracic paravertebral block with ropivacaine in a 6-year-old child
title_full Cardiac arrest after thoracic paravertebral block with ropivacaine in a 6-year-old child
title_fullStr Cardiac arrest after thoracic paravertebral block with ropivacaine in a 6-year-old child
title_full_unstemmed Cardiac arrest after thoracic paravertebral block with ropivacaine in a 6-year-old child
title_short Cardiac arrest after thoracic paravertebral block with ropivacaine in a 6-year-old child
title_sort cardiac arrest after thoracic paravertebral block with ropivacaine in a 6-year-old child
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5818697/
https://www.ncbi.nlm.nih.gov/pubmed/29497657
http://dx.doi.org/10.1186/s40981-015-0015-4
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